J.Jpn. Surg. Soc.. 97(6): 455-459, 1996
Feature topic
THE POSTOPERATIVE CARE AND TREATMENT IN ESOPHAGEAL CANCER (4)POSTOPERATIVE FOLLOW UP-(RECURRENCE, NUTRITIONAL MANAGEMENT AND AFTER-CARE OF IC)
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Department of Surgery, The Institute of Gastroentelogy, Tokyo Women's Medical College, Tokyo, Japan Hiroko Ide, Hidemi Nakamura, Masaho Ohota, Kejii Tanigawa, Ataru Kobayashi, Kazunari Yoshida, Kazuhiko Hayashi, Tsutomu Nakamura, Reiki Eguchi |
1) Postoperative nutritional management : In the reconstruction using gastric tube, we make Witzel's gastrostomy in antrum of regardless of the reconstructive routes and transfer to enteral tube-feeding to assist the oral food-taking amount. These management is not only attributing to assist early return to working but also effective to prevent the loss of postoperative physical strength in older patients.
2) Postoperative adjuvant therapy : The esophageal cancer is the diseases that react chemo-and radio-therapy, so most of advanced cases were treated with adjuvant therapy. Nawady, it is essential for patlents to explain the real diagnosis, treatment regimen, then to agree to the informed concent. After informed, the tender mental consult during treatment and outpatient suevice is required for mental burden.
3) Postoperative follow-up : The recoguntition of postoperative QOL, early detection of recurrence are mostly emphasized during 2 years after operation. The occurence of secondary cancer (gastric cancer, cervico-pharyngeal cancer, colorectal cancer etc.) are seen in even 5-10 years after operation. Then the long-term periodical examination and life care are needed.
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